I was recently consulted by Rheumatology for a lupus patient with progressively worsening periarticular calcifications/swelling in the small joints of her hands. She does have nephritis but medications to treat her lupus have not stalled the progression of joint involvement. Aspiration of one of the joints showed a thick white paste- many WBCs, no crystals, […]
Apropos Atul’s case, I believe this case precedes any biopsy proof or treatment for his suspected prostate cancer.The prostate MRI was only 1-2 weeks ago….and the findings were incidental on the prostate MRI. The subsequent bilateral hip MRI adds nothing and appears no different. From Atul: I believe the differential between PMR and Adhesive Capsulitis
Prostate MRI in 77M with probable prostate CA, incidental hip fingings Read More »
From Jerry Mink: Dear OCAD A few years ago, cochlear implants became mr compatible, with some conditions but basically safe. We have put every such patient into the scanner without a problem. My wife had a nucleus 8 put in several months ago, believing that she was good to go for her follow up breast
Tuberculosis versus neoplastic clinical ..lab with histopathological evaluation is important in diffrenciation Thanks for all your responses! I got four votes for SAPHO, two for atypical/chronic infection, one suggestion for angiomatosis, and one for arthritis. I’ll talk to the ordering provider and keep an eye on this case to see what happens. Thanks again, Jessica
puzzling sternoclavicular abnormality Read More »
Atul Taneja recommended an excellent relevant article from 2014: I’ve shared the reference and first images below On Tue, Jun 25, 2024 at 2:48 PM hilary umans <hilary.umans> wrote: 61F 1-2 months posterior upper butt pain Orthopedic hip surgeon suspected gluteus tendonosis or tear I had thought that the axial image might be posterior band G
61F Hip MRI, this butt’s for you Read More »
Hi everyone, What do you think about this case? Patellar OCD? Clinical history: periodic swelling around the joint and pain. MRI: osteochondral lesion of the patella + moderate joint effusion and synovitis. PDFS: T2: sag pdfs: sag t1: kind regards, Marcin
Hello everyone ! I bring you this case of a 42 year old male patient, who had a blocked elbow in flexion for the last 6 months. No history of trauma. In the images i attached, you can see moderate quantity of fluid in the articulation, with synovial hypertrophy and there are 2 well circumscribed
42 year old with flexion problems Elbow Read More »
Thank you all for your impressively numerous and quick replies. The vote went 28:1 in favour of chronic Morel-Lavallée (degloving) lesion. Have a great day! Andrei Herzliche Grüsse Andrei Dumitrescu Hi there, this is a 60 year old man who’s had this "bump" at the left hip for years and now wants to know what
Old epifascial haematoma? Read More »
28F with bilateral hip pain and tightness and difficulty walking for 9 months They don’t provide running or other sports or overuse history The referrer ordered pelvis MRI to evaluate both hips (not hip MRI) I am posting this partly because I don’t recall seeing bilateral concomitant femoral neck stress fractures. The Main reason I
28F chronic bilateral hip pain and stiffness Pelvis MRI Read More »
